Individual
LISA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHP
Contact information
Practice address
2353 RICE ST STE 130, ROSEVILLE, MN 55113-3770
(619) 993-6957
Mailing address
2016 UPPER AFTON RD E # 2, SAINT PAUL, MN 55119-4916
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2015229 ROSEVILLE,MN
MN
Other
Enumeration date
04/03/2015
Last updated
04/03/2015
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